[Clinical observation of 116 cases of laryngofissure avoiding tracheotomy].

OBJECTIVE:To evaluate the clinical effect of laryngofissure without tracheotomy. METHOD:One hundred and sixteen cases of laryngofissure without tracheotomy in our department were analyzed retrospectively. RESULT:Of 116 cases, 101 cases had the laryngeal carcinoma; 9 cases had laryngeal stenosis; 6 cases had benign tumor of larynx. All the incisions were healed by first intention; and postoperative duration of hospital stay were 7 to 20 days. Three cases recurred in 101 cases of laryngeal carcinoma (2.97%), and underwent reoperation,the 5 year survival rate was 100%. One case recurred in 9 cases of laryngeal stenosis, and underwent reoperation of laryngoplasty with T-tube implanted. No recurrence in 6 cases of benign tumor of larynx. CONCLUSION:Laryngofissure with out tracheotomy have the advantage of less trauma, fast rehabilitation and no destroying the normal respiratory functions. It is completely feasible so long as surgeons grasp the adaption of operation strictly and select suitable cases.